Remote RCM Claims QA Supervisor

Eye Care Partners Career Opportunities; Lorida (FL); Remote; USD 85,000 - 105,000; Full time

Job summary

EyeCare Partners is seeking a Quality Assurance Supervisor- Claims to oversee QA across charge posting and claims management for multiple practices. You will supervise onshore and offshore teams, audit submissions, and drive process improvements while ensuring HIPAA and billing guideline compliance.

The ideal candidate has 3+ years in charge posting/claims, strong CPT/ICD-10 knowledge, advanced Excel, and experience coaching QA staff; PowerBI familiarity and ability to deliver monthly QA reports

Qualifications

• Minimum 3+ years of experience in charge posting and/or claims submission and reconciliation.
• Strong CPT, ICD-10 and HCPCS coding knowledge and claims submission workflows.
• Advanced Excel and reporting skills (PowerBI preferred).
• Experience supervising and coaching QA or charge posting teams.
• Excellent English communication and cross-functional collaboration.

Responsibilities

• Supervise day-to-day operations of charge posting and claims readiness teams across internal and offshore resources.
• Review and audit claims submissions, edits, clearinghouse rejections, and charge entry for quality and timeliness.
• Track, analyze, and report trends in errors, edits, and rejections; provide monthly QA summaries to leadership.
• Create dashboards with site-specific QA metrics using PowerBI and other tools.
• Maintain QA procedures, SOPs, and documentation aligned with billing guidelines.
• Provide training on billing protocols, charge entry standards, and regulatory updates.
• Ensure HIPAA and federal/state billing compliance; handle escalations and coaching.
• Interview, hire, and train staff; manage performance and develop team.

Skills

QA auditing

PowerBI

Excel

Leadership

CPT ICD-10 knowledge

Time management

Tools

EHR/PMS systems

Billing platforms

Clearinghouses

HIPAA compliance tools

Job description

EyeCare Partners is seeking a Quality Assurance Supervisor- Claims to oversee QA across charge posting and claims management for multiple practices. You will supervise onshore and offshore teams, audit submissions, and drive process improvements while ensuring HIPAA and billing guideline compliance.

The ideal candidate has 3+ years in charge posting/claims, strong CPT/ICD-10 knowledge, advanced Excel, and experience coaching QA staff; PowerBI familiarity and ability to deliver monthly QA reports